37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 605549 |
Time | |
Date | 200401 |
Day | Tue |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : vhhh.airport |
State Reference | FO |
Altitude | msl single value : 1500 |
Environment | |
Flight Conditions | Marginal |
Aircraft 1 | |
Controlling Facilities | tracon : vhhh.tracon |
Operator | common carrier : air carrier |
Make Model Name | B747-400 |
Operating Under FAR Part | Part 121 |
Navigation In Use | ils localizer & glide slope : 7l |
Flight Phase | descent : approach landing : go around |
Route In Use | approach : instrument precision arrival : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain instruction : instructor oversight : pic |
ASRS Report | 605549 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain instruction : trainee |
Events | |
Anomaly | non adherence : clearance other spatial deviation |
Independent Detector | other flight crewa |
Resolutory Action | controller : issued new clearance |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | ATC Human Performance Navigational Facility Flight Crew Human Performance Airport |
Primary Problem | Navigational Facility |
Narrative:
The flight was being radar vectored to the ILS runway 7L from the south. A heading to base leg was given with a descent clearance to 1500 ft. The quality of the transmission was poor (scratchy and garbled) coupled with an accent. The altitude was not clearly understood by all in the cockpit so a request for confirmation was made. The ATC response was still garbled and scratchy but the altitude assignment was confirmed along with a turn to 045 degrees and something referencing runway 7L. A turn to the assigned heading was initiated. As we approached the localizer, I asked ATC if this heading was intended to intercept the localizer. The transmission was now clear with 'affirmative.' the PF (IOE) immediately armed the localizer which engaged and began a turn to correct for the overshoot. The autoplt continued to overcorrect flying through the localizer course in the opposite direction. As we were concerned about the high terrain to the right of the localizer, the PF disconnected the autoplt and manually flew the aircraft to a parallel course to the localizer. During this time, the ATC controller initiated several distracting xmissions regarding tuning the localizer, receiving the localizer, and questioned if we were established on the localizer. The runway was in sight at this time and I explained that we were correcting back to the localizer. The ATC controller then assigned a heading of 070 degrees and an altitude of 6000 ft. Since the runway was in sight at this time it was not clear that the controller was directing us to make a go around. I confirmed the clearance and a go around was initiated. A radar vector to final and the subsequent landing was uneventful. It was interesting to note the second time on base, in the same location as the first approach, the audio quality of the ATC transmission was again poor and garbled. With a heightened awareness of all crew members and anticipating ATC instructions, we confirmed that we were cleared for the approach. A phone call was requested and initiated to the approach control supervisor (who was the actual controller) and the sequence of events was discussed. In that discussion, the controller confirmed that several other flight crews have reported that the audio quality of ATC transmission on base leg was determined to be of poor quality. The resulting confusion of ATC clearance and the rapid succession of confirmation, requests for information, and multiple clrncs, increased the cockpit workload and reduced the opportunity for me to help the IOE PF to anticipate the flight maneuver during a critical phase of flight. The IOE crew member and I have debriefed the sequence of events that led to this event at great length.
Original NASA ASRS Text
Title: B747 LNDG VHHH EXPERIENCED COM NAV PROB AND IS ISSUED GAR.
Narrative: THE FLT WAS BEING RADAR VECTORED TO THE ILS RWY 7L FROM THE S. A HDG TO BASE LEG WAS GIVEN WITH A DSCNT CLRNC TO 1500 FT. THE QUALITY OF THE XMISSION WAS POOR (SCRATCHY AND GARBLED) COUPLED WITH AN ACCENT. THE ALT WAS NOT CLRLY UNDERSTOOD BY ALL IN THE COCKPIT SO A REQUEST FOR CONFIRMATION WAS MADE. THE ATC RESPONSE WAS STILL GARBLED AND SCRATCHY BUT THE ALT ASSIGNMENT WAS CONFIRMED ALONG WITH A TURN TO 045 DEGS AND SOMETHING REFING RWY 7L. A TURN TO THE ASSIGNED HDG WAS INITIATED. AS WE APCHED THE LOC, I ASKED ATC IF THIS HDG WAS INTENDED TO INTERCEPT THE LOC. THE XMISSION WAS NOW CLR WITH 'AFFIRMATIVE.' THE PF (IOE) IMMEDIATELY ARMED THE LOC WHICH ENGAGED AND BEGAN A TURN TO CORRECT FOR THE OVERSHOOT. THE AUTOPLT CONTINUED TO OVERCORRECT FLYING THROUGH THE LOC COURSE IN THE OPPOSITE DIRECTION. AS WE WERE CONCERNED ABOUT THE HIGH TERRAIN TO THE R OF THE LOC, THE PF DISCONNECTED THE AUTOPLT AND MANUALLY FLEW THE ACFT TO A PARALLEL COURSE TO THE LOC. DURING THIS TIME, THE ATC CTLR INITIATED SEVERAL DISTRACTING XMISSIONS REGARDING TUNING THE LOC, RECEIVING THE LOC, AND QUESTIONED IF WE WERE ESTABLISHED ON THE LOC. THE RWY WAS IN SIGHT AT THIS TIME AND I EXPLAINED THAT WE WERE CORRECTING BACK TO THE LOC. THE ATC CTLR THEN ASSIGNED A HDG OF 070 DEGS AND AN ALT OF 6000 FT. SINCE THE RWY WAS IN SIGHT AT THIS TIME IT WAS NOT CLR THAT THE CTLR WAS DIRECTING US TO MAKE A GAR. I CONFIRMED THE CLRNC AND A GAR WAS INITIATED. A RADAR VECTOR TO FINAL AND THE SUBSEQUENT LNDG WAS UNEVENTFUL. IT WAS INTERESTING TO NOTE THE SECOND TIME ON BASE, IN THE SAME LOCATION AS THE FIRST APCH, THE AUDIO QUALITY OF THE ATC XMISSION WAS AGAIN POOR AND GARBLED. WITH A HEIGHTENED AWARENESS OF ALL CREW MEMBERS AND ANTICIPATING ATC INSTRUCTIONS, WE CONFIRMED THAT WE WERE CLRED FOR THE APCH. A PHONE CALL WAS REQUESTED AND INITIATED TO THE APCH CTL SUPVR (WHO WAS THE ACTUAL CTLR) AND THE SEQUENCE OF EVENTS WAS DISCUSSED. IN THAT DISCUSSION, THE CTLR CONFIRMED THAT SEVERAL OTHER FLT CREWS HAVE RPTED THAT THE AUDIO QUALITY OF ATC XMISSION ON BASE LEG WAS DETERMINED TO BE OF POOR QUALITY. THE RESULTING CONFUSION OF ATC CLRNC AND THE RAPID SUCCESSION OF CONFIRMATION, REQUESTS FOR INFO, AND MULTIPLE CLRNCS, INCREASED THE COCKPIT WORKLOAD AND REDUCED THE OPPORTUNITY FOR ME TO HELP THE IOE PF TO ANTICIPATE THE FLT MANEUVER DURING A CRITICAL PHASE OF FLT. THE IOE CREW MEMBER AND I HAVE DEBRIEFED THE SEQUENCE OF EVENTS THAT LED TO THIS EVENT AT GREAT LENGTH.
Data retrieved from NASA's ASRS site as of July 2007 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.